When reviewing a client's history, a nurse determines that the ...

[jayhills49]

When reviewing a client's history, a nurse determines that the use of laxatives would be contraindicated if the client has a history of which of the following? Select all that apply.
 
  A) Chronic hepatitis
  B) Type 1 diabetes
  C) Acute appendicitis
  D) Intestinal obstruction
  E) Fecal impaction

Question 2

Which of the following produce their laxative effect by direct action on the intestine to increase peristalsis? Select all that apply.
 
  A) Sennosides (Senokot)
  B) Methylcellulose (Citrucel)
  C) Glycerin (Fleet Babylax)
  D) Bisacodyl (Dulcolax)
  E) Lactulose (Chronulac)

[kkenney]

Answer to Question 1

Ans: C, D, E
Feedback:
Laxatives are contraindicated in clients with known hypersensitivity and those with persistent abdominal pain, nausea, vomiting, or pain of unknown cause or signs of acute appendicitis, fecal impaction, intestinal obstruction, or acute hepatitis.

Answer to Question 2

Ans: A, D
Feedback:
Irritant or stimulant laxatives, like sennosides (Senokot) and bisacodyl (Dulcolax), produce their laxative effect by direct action on the intestine to increase peristalsis. Methylcellulose is a bulk-forming laxative. Glycerin and lactulose are hyperosmolar drugs.

[jayhills49]

Thanks

[kkenney]

Welcome